Individual
MS. JANINE FONFARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
163 BROADWAY ST, COLCHESTER, CT 06415-1022
(860) 537-4601
(860) 537-6935
Mailing address
112 LAFAYETTE ST, NORWICH, CT 06360-2737
(860) 425-8735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004773
CT
Other
Enumeration date
09/30/2007
Last updated
02/24/2015
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